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Patient Assistance Coordinator

Company: The Oncology Institute of Hope and Innovation
Location: Cerritos
Posted on: May 16, 2023

Job Description:

Founded in 2007, The Oncology Institute of Hope and Innovation (TOI) is advancing oncology by delivering highly specialized, value-based cancer care in the community setting. TOI is dedicated to offering cutting edge, evidence-based cancer care to a population of more than 1.7 million patients including clinical trials, stem cell transplants, transfusions, and other care delivery models traditionally associated with the most advanced care delivery organizations. With 100+ employed clinicians and more than 800 teammates in 60+ clinic locations and growing. TOI is changing oncology for the better.

Job Summary

The role of the Patient Assistance Coordinator is to improve and maximize the revenue capture at TOI by educating and enrolling oncology patients into Third Party Assistance programs that reduce patients' out-of-pocket expenses while maximizing savings for TOI charity program and reducing the number of patients that fall into collections.

The Patient Assistance Coordinator will assist all TOI patients in navigating available financial resources to help pay for their prescribed therapy and avoid any associated financial toxicity due to their cost of care. This individual will research and enroll eligible patients into financial assistance programs from all available internal and external resources, including but not limited to: Financial Assistance Programs, copay assistance programs for IV and oral drugs, drug replacement programs, free Medication, grants from national oncology foundations, as well as local and community

Essential Functions:

  • Maintain extensive database for Third Party Assistance (TPA) Programs for oncology patient financial assistance and continuously monitor for changes and/or updates regarding each TPA's available funding and their eligibility and enrollment requirements.
  • Meet, and or counsel with new patients and their caregivers to provide patient-specific education on their insurance benefits and estimated out-of-pocket expenses for their prescribed therapy prior to treatment initiation.
  • Assist patients in completing applications for financial assistance, pharmaceutical assistance, free medications and government programs in a timely and HIPAA compliant manner. Work closely with other departments physicians and clinics on cross over patients and communicate any applicable changes or issues regarding patient care, as necessary.
  • Track all TPA funding received and report the information to leadership on a bi-monthly basis. Assist in reporting, trending, and forecasting on special projects as requested by leadership.
  • Obtain all required insurance information for therapeutic medications ordered by Providers.
  • Serve as the oncology point of contact for all patient billing questions and concerns; work directly with the Oncology Financial Navigators, RCM staff to resolve all TOI patient billing matters.
  • Submit patient claims and applications for financial assistance in a timely and HIPAA compliant manner. Includes communicating with the clinics and physicians to ensure the application has been signed and ready for submission to the pharmaceutical companies. Ensure that all monies received are posted to the financial system and provide updates to patients as funding is received on their behalf.
  • Liaise with pharmaceutical company representatives for both IV and oral therapies to learn about their products, co-pay programs and potential foundation assistance. Act as the first line of contact for pharmaceutical reps and communicate applicable changes/updates to the clinical team as appropriate.
  • Promote an atmosphere of warmth, compassion, and understanding while demonstrating empathy and the ability to relate to patients and their families.
  • Role models the principals of TOI's Organizational Values.
  • Perform other duties as assigned. Must by HIPAA compliant.
  • Review payer explanation of benefits for accuracy
  • Bill claim to the foundation with necessary attachments, ensure timely following for payment
  • Evaluate financials every 6 months for program funding.
  • Conduct annual re enrollment eligibility for existing approved foundation patients.
    Experience and Experience:
    • 3-5 years of experience in a healthcare setting required.
    • Previous oncology-specific financial counseling experience preferred.
    • Claim follow-up and understanding of payer explanation of benefits.
    • Must have strong organizational skills and ability to multi-task
    • Excellent customer service skills
    • Knowledge in Microsoft Office programs; excel, word etc.
    • High school diploma

      Hourly Wage Estimate: $18.50 - $24.00 / hour

      The estimate displayed represents the typical wage range of candidates hired. Factors that may be used to determine your actual hourly rate may include your specific skills, how many years of experience you have and comparison to other employees already in this role .

Keywords: The Oncology Institute of Hope and Innovation, Cerritos , Patient Assistance Coordinator, Other , Cerritos, California

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